| NPI | 1053491639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET A MOORE Practice Manager 847-518-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: IL 036067750) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-08-22 |